Evidence map›Paper›PMID 30653165›Full record

Observational studyMedicine2019

A novel self-expanding biflanged metal stent vs tubular metal stent for EUS-guided transmural drainage of pancreatic pseudocyst: A retrospective, cohort study.

Yao Yao, Dingguo Zhang, Jiefang Guo, Ke Qi, Feng Li, Jianwei Zhu, Dong Wang, Jie Chen, Can Xu, Luowei Wang and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Review
  3. Pancreatic pseudocyst: Dilemma of its recent management (Review).Experimental and therapeutic medicine · 2021
    Review
  4. Article
  5. Burden of Liver Diseases: A Review from Iran.Middle East journal of digestive diseases · 2019
    Review
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Yao YaoDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University.
Dingguo ZhangDepartment of Gastroenterology, Shenzhen People's Hospital, Second Clinical Medical College of Jinan University, Shenzhen, China.
Jiefang GuoDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University.
Ke QiDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University.
Feng LiDepartment of Gastroenterology and Hepatology, CHRISTUS Mother Frances Hospital, Tyler, TX.
Jianwei ZhuDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University.
Dong WangDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University.
Jie ChenDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University.
Can XuDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University.
Luowei WangDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University.
Kaixuan WangDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University.
Zhendong JinDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University.
Zhaoshen LiDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University.
Changhai Hospital · CNSecond Military Medical University · CNJinan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although endoscopic ultrasound (EUS)-guided transmural drainage of pancreatic fluid collections with metal stents is generally preferred over plastic stents, its superiority among different types of metal stents has not yet been well studied. We conducted this study to compare clinical outcomes and complications of a novel self-expanding biflanged metal stent (BFMS) and a traditional-shaped tubular metal stent (TMS) in treating pancreatic pseudocyst (PPC).This was a retrospective analysis on consecutive patients with PPC underwent EUS-guided transmural drainage with either TMS or BFMS in a single tertiary center with expertise in management of complex biliary and pancreatic problems. The technical and functional success rate, reintervention, complications, and recurrence rate were evaluated.From September 2013 to January 2018, 125 patients (66.4% male, median age 47 years) underwent EUS-guided transmural drainage for PPC. Among them, 49 used TMS and 76 used BFMS. All patients met the inclusion criteria that cyst diameter was >6 cm or the distance between cyst and stomach wall was shorter than 1 cm. There was no difference in technical success (98% vs 97.4%, P = 1.0) or functional success rate (87.8% vs 92.1%, P = .54) using 2 types of metal stents. However, more procedure related complications occurred in TMS than in BFMS group. TMS group had a much higher migration rate than BFMS group (14.6% vs 0, P = .001), even though there was no significant difference in bleeding, infection, or death rate between 2 groups. With similar clinical outcomes, TMS group required more additional plastic stent placement than BFMS group for better drainage.TMS and BFMS placement can both be considered as methods of endoscopic transmural PPC drainage with equal efficacy, whereas BFMS could be preferred for fewer complications or less need of additional plastic stent placement.

Indexed as

AdultAgedCohort StudiesDrainageEndosonographyEquipment DesignEquipment FailureFemaleFollow-Up StudiesHumansMaleMetalsMiddle AgedPancreasPancreatic PseudocystPostoperative ComplicationsMetals

Identifiers

PMID30653165
PMCPMC6370115
OpenAlexW2909046732

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.